Charles Henri Mbala Ondobo (NPI# 1861929465, PAC ID# 5698044550) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1861929465 |
PAC ID by PECOS | 5698044550 |
Professional Enrollment ID | I20170707002945 |
Full Name | Charles Henri Mbala Ondobo |
Organization Legal Name | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. |
Address |
625 E 105th St Suite 102 Cleveland OH 44108-4141 |
Phone Number | 2163256556 |
Gender | M |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5799756615 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
625 E 105th St, Suite 102, Cleveland, OH 44108-4141 | 2163256556 | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. |
Organization Legal Name | NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC. |
Physicians | 18 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pamela Graham | Nurse Practitioner | Northeast Ohio Neighborhood Health Services, Inc. | 9127 Miles Ave, Cleveland, OH 44105-6136 |
Pamela Redden | Internal Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 8300 Hough Ave, Cleveland, OH 44103-4247 |
Valerie T Coats | Pediatric Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 15320 Euclid Ave, East Cleveland, OH 44112-2806 |
Edwina Simmons | Obstetrics/gynecology | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Crystal Carter | Internal Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Suzanne White | Internal Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Kimberly M Peacock | Family Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Kathryn Risch | Nurse Practitioner | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Usha Mehta | Internal Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Brenda Joyce Perryman | Internal Medicine | Northeast Ohio Neighborhood Health Services, Inc. | 1468 E 55th St, Cleveland, OH 44103-1307 |
Street Address |
625 E 105TH ST SUITE 102 |
City | CLEVELAND |
State | OH |
Zip | 44108-4141 |
Name | Specialty | Organization | Address |
---|---|---|---|
Faried Muntaser | Podiatry | Glenville Foot and Ankle Center, Inc. | 10701 Saint Clair Ave, Cleveland, OH 44108-1934 |
Sai Man Lee | Podiatry | Glenville Foot and Ankle Center, Inc. | 10701 Saint Clair Ave, Cleveland, OH 44108-1934 |
Marion E Craig | Nurse Practitioner | Metrohealth System | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 |
Elizabeth P Cottom | Nurse Practitioner | Metrohealth System | 11100 Saint Clair Ave, Cleveland, OH 44108-1943 |
Vaquet A Shomo | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
Adam D Rhodes | General Practice | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
Mandisa Molton | Nurse Practitioner | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
Robert J Cromley | Family Medicine | Osh-oh Physicians Group PC | 10553 Saint Clair Ave, Cleveland, OH 44108-1973 |
City | CLEVELAND |
Zip Code | 44108 |
Specialty | NURSE PRACTITIONER |
City + Specialty | CLEVELAND + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.